Jeremy Michael Fowler

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

5454 Lithia Pinecrest Rd
Lithia, FL 33547-2853

Phone

(813) 467-9282

NPI assigned

Aug 3, 2021

Last updated

Aug 3, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1770257974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 LITHIA PINECREST RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335472853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 LITHIA PINECREST RD",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335472853",
            "telephone_number": "813-467-9282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 Queensbury Ave",
            "address_purpose": "LOCATION",
            "city": "Valrico",
            "state": "FL",
            "postal_code": "335967156",
            "country_code": "US",
            "telephone_number": "352-857-5525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Five Magnolias Assisted Living
• Joshua Fleming
• Florida Autism Center
• Ar'Reyana Flowers
• James Floyd
• Ann Rowles Foyt, REGISTERED NURSE
• Susan Frederick, LCSW
• Amanda Frissell, M.S., CCC-SLP
• Kristal Galarza, RBT
• Nicole Carolina Gallardo

• Behavior Technician in Lithia, FL
• Providers in Lithia, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.